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Journal of the Korean Society of Neonatology 2009;16(2):205-212.
Published online November 1, 2009.
Comparison of Outcomes According to the Hospitals of Antenatal Care in Very Low Birth Weight Infants.
Byoung Kook Lee, Heun Ji Lee, Min Sung Joo, Do Hyun Kim, Hee Sup Kim
Department of Pediatrics, College of Medicine, Dongguk University, Ilsan, Korea. kimhs@duih.org
극소 저체중 출생아에서 산전 관리 기관에 따른 임상 경과 및 예후 비교
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Abstract
PURPOSE
The purpose of this study was to evaluate the differences according to the hospitals of antenatal care in premature infants.
METHODS
We retrospectively reviewed the medical records of premature infants with gestational ages <37 weeks and very low birth weights who were admitted immediately after birth to the neonatal intensive care unit (NICU) at the Dongguk University Ilsan Hospital between March 2007 and February 2009. The hospitals of antenatal care were divided into two levels (primary antenatal care hospital: hospitals with less than a level 2 NICU, secondary antenatal care hospital: hospitals with a level 3 NICU) based on the level of NICU in hospitals. In addition, total infants were divided into two groups (Immediate group: infants born within 24 hours of maternal admission, Delayed group: infants born after 24 hours of maternal admission). The differences between maternal and neonatal variables in each groups were studied.
RESULTS
Neonates in secondary antenatal care hospitals comprised 11.0% of the study neonates (10 of 91). We compared with two groups (primary antenatal care hospital and secondary antenatal care hospital), but there were no differences in all subjects. However, the 1 minute Apgar score (< or =3) was lower in the immediate group than the delayed group.
CONCLUSION
Shorter duration of maternal admission to delivery was associated with a lower 1 minute Apgar score of neonates. These findings suggest that if maintenance of pregnancy is difficult when high-risk gravidas are transferred, clinicians must prepare for emergencies of neonates.
Key Words: Prenatal care, Antenatal care, Preterm infants, Very low birth weight infants, CRIB II score, Apgar score


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